TABLE A1.
Event | Lorlatinib (n = 149) | Crizotinib (n = 142) | ||||
---|---|---|---|---|---|---|
Any Gradea | Grade 3 | Grade 4 | Any Gradeb | Grade 3 | Grade 4 | |
Any AE, No. (%) | 149 (100) | 95 (64) | 20 (13) | 140 (99) | 69 (49) | 12 (8) |
Hypercholesterolemiac | 108 (72) | 30 (20) | 2 (1) | 5 (4) | 0 | 0 |
Hypertriglyceridemiac | 99 (66) | 25 (17) | 12 (8) | 8 (6) | 0 | 0 |
Edemac | 85 (57) | 6 (4) | 0 | 61 (43) | 2 (1) | 0 |
Peripheral neuropathyc | 65 (44) | 2 (1) | 0 | 23 (16) | 1 (1) | 0 |
Weight increased | 65 (44) | 34 (23) | 0 | 18 (13) | 3 (2) | 0 |
Fatiguec | 45 (30) | 2 (1) | 0 | 47 (33) | 4 (3) | 0 |
Arthralgia | 41 (28) | 1 (1) | 0 | 20 (14) | 0 | 0 |
Cognitive effectsc | 41 (28) | 5 (3) | 0 | 10 (7) | 0 | 0 |
Hypertension | 39 (26) | 18 (12) | 0 | 6 (4) | 1 (1) | 0 |
Anemia | 37 (25) | 6 (4) | 0 | 14 (10) | 4 (3) | 0 |
Diarrhea | 34 (23) | 3 (2) | 0 | 75 (53) | 1 (1) | 0 |
Dyspnea | 34 (23) | 5 (3) | 0 | 26 (18) | 4 (3) | 0 |
Headache | 33 (22) | 0 | 0 | 28 (20) | 1 (1) | 0 |
Mood effectsc | 31 (21) | 2 (1) | 0 | 9 (6) | 0 | 0 |
Cough | 30 (20) | 0 | 0 | 27 (19) | 0 | 0 |
Pyrexia | 30 (20) | 1 (1) | 0 | 19 (13) | 2 (1) | 0 |
ALT increased | 29 (19) | 4 (3) | 0 | 49 (35) | 5 (4) | 1 (1) |
Back pain | 29 (19) | 2 (1) | 0 | 20 (14) | 0 | 0 |
Constipation | 29 (19) | 0 | 0 | 43 (30) | 1 (1) | 0 |
Vision disorderc | 29 (19) | 0 | 0 | 57 (40) | 1 (1) | 0 |
Pain in extremity | 28 (19) | 0 | 0 | 14 (10) | 0 | 0 |
Gamma-glutamyltransferase increased | 27 (18) | 8 (5) | 1 (1) | 22 (15) | 6 (4) | 0 |
Nausea | 25 (17) | 1 (1) | 0 | 75 (53) | 3 (2) | 0 |
SARS-CoV-2 test positive | 25 (17) | 0 | 0 | 3 (2) | 0 | 0 |
AST increased | 24 (16) | 3 (2) | 0 | 39 (27) | 5 (4) | 0 |
Lipase increased | 22 (15) | 8 (5) | 1 (1) | 18 (13) | 4 (3) | 1 (1) |
Hyperglycemia | 21 (14) | 8 (5) | 0 | 5 (4) | 0 | 0 |
Myalgia | 21 (14) | 0 | 0 | 6 (4) | 0 | 0 |
Vomiting | 20 (13) | 1 (1) | 0 | 56 (39) | 2 (1) | 0 |
Blood creatine phosphokinase increased | 19 (13) | 4 (3) | 0 | 25 (18) | 5 (4) | 1 (1) |
Dizziness | 19 (13) | 0 | 0 | 21 (15) | 0 | 0 |
Sleep effectsc | 19 (13) | 1 (1) | 1 (1) | 14 (10) | 0 | 0 |
Chest pain | 18 (12) | 2 (1) | 0 | 20 (14) | 1 (1) | 0 |
Rash | 18 (12) | 0 | 0 | 12 (8) | 0 | 0 |
Upper respiratory tract infection | 18 (12) | 1 (1) | 0 | 11 (8) | 2 (1) | 0 |
Amylase increased | 17 (11) | 0 | 0 | 19 (13) | 1 (1) | 0 |
Pneumonia | 17 (11) | 5 (3) | 1 (1) | 13 (9) | 4 (3) | 1 (1) |
Hyperlipidemia | 16 (11) | 2 (1) | 1 (1) | 0 | 0 | 0 |
Hyperuricemia | 16 (11) | 0 | 1 (1) | 6 (4) | 0 | 0 |
Blood creatine increased | 11 (7) | 2 (1) | 0 | 22 (15) | 3 (2) | 0 |
Neutropenia | 11 (7) | 1 (1) | 0 | 21 (15) | 13 (9) | 0 |
Blood alkaline phosphatase increased | 9 (6) | 0 | 0 | 17 (12) | 2 (1) | 0 |
Dysgeusia | 9 (6) | 0 | 0 | 23 (16) | 0 | 0 |
Hypoalbuminemia | 8 (5) | 1 (1) | 0 | 18 (13) | 6 (4) | 0 |
Decreased appetite | 6 (4) | 0 | 0 | 35 (25) | 4 (3) | 0 |
Sinus bradycardia | 6 (4) | 0 | 0 | 16 (11) | 1 (1) | 0 |
Blood lactate dehydrogenase increased | 5 (3) | 1 (1) | 0 | 16 (11) | 0 | 0 |
Bradycardia | 4 (3) | 0 | 0 | 20 (14) | 0 | 0 |
Neutrophil count decreased | 3 (2) | 0 | 0 | 18 (13) | 8 (6) | 4 (3) |
Abbreviation: AE, adverse event.
Fourteen patients in the lorlatinib group died due to COVID-19 pneumonia (n = 2), respiratory failure (n = 2), pneumonia (n = 1), cardiac failure (n = 1), pulmonary embolism (n = 1), lower respiratory tract infection (n = 1), basal ganglia hemorrhage (n = 1), cardiac arrest (n = 1), cardiac failure acute (n = 1), death (n = 1; reason unknown), disease progression (n = 1), or lung neoplasm malignant (n = 1). Two treatment-related deaths occurred due to cardiac failure acute and respiratory failure (n = 1 each).
Seven patients in the crizotinib group died due to malignant neoplasm progression (n = 2), pericardial effusion (n = 1), death (n = 1; reason unknown), disease progression (n = 1), neoplasm progression (n = 1), or Clostridium difficile colitis (n = 1).
This category comprised a cluster of AEs that may represent similar clinical symptoms or syndromes.